Cited by 96Mobile Health and mHealth ApplicationsICT in Developing CommunitiesSocial Media in Health Education

Reaching Remote Health Workers in Malawi: Baseline Assessment of a Pilot mHealth Intervention

Lemay, Nancy Vollmer, Sullivan, Tara, Jumbe, Brian, Perry, Cary Peabody·2012·Journal of Health Communication

Abstract

mHealth has great potential to change the landscape of health service delivery in less developed countries--expanding the reach of health information to frontline health workers in remote areas. Formative, process, and summative evaluation each play an important role in mHealth interventions. K4Health conducted a Health Information Needs Assessment in Malawi from July to September 2009 (formative evaluation) that found widespread use of cell phones among health workers offering new opportunities for knowledge exchange, especially in areas where access to health information is limited. K4Health subsequently designed an 18-month demonstration project (January 2010 to June 2011) to improve the exchange and use of family planning/reproductive health and HIV/AIDS knowledge among health workers, which included the introduction of a short message service (SMS) network. K4Health conducted a pretest of the mHealth intervention from June to October 2010. A baseline assessment was carried out in November 2010 before expanding the SMS network and included use of qualitative and quantitative measures and comparison groups (summative evaluation). Routinely collected statistics also guide the program (process evaluation). This article describes the approach and main findings of the SMS baseline study and contributes to a growing body of evidence measuring the effectiveness and efficiency of mHealth programs using a strong evaluation design.

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Crossref · 10.1080/10810730.2011.649106

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  • Other studies have demonstrated the benefits of equipping health workers with data management technologies to improve the continuity of care in rural populations.

    “These findings align with other studies that have demonstrated the benefits of equipping health workers with data management technologies to improve the continuity of care in rural populations [27, 61].”
  • The average cost per communication was about five times less expensive using SMS than in areas without SMS service.

    “The average cost per communication was about five times less expensive using SMS than in areas without SMS service.”

    From mHealth in Sub-Saharan Africa (2013) · cites this paper as [14]

  • In rural areas of Malawi, CHWs most often used SMS to report medical supply shortages, followed by texts to obtain or communicate general information, and then by texts about patients with emergencies.

    “In this study, CHWs most often used SMS to report medical supply shortages, followed by texts to obtain or communicate general information, and then by texts about patients with emergencies.”

    From mHealth in Sub-Saharan Africa (2013) · cites this paper as [14]

  • Communication via SMS took an average of nine minutes, whereas health workers in areas without SMS generally had to report any issues in person and this took an average of 24 hrs.

    “Communication via SMS took an average of nine minutes, whereas health workers in areas without SMS generally had to report any issues in person and this took an average of 24 hrs.”

    From mHealth in Sub-Saharan Africa (2013) · cites this paper as [14]

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Authors
Lemay, N. V., Sullivan, T., Jumbe, B., & Perry, C. P.
Affiliations
  • Management Sciences for Health (US)
  • Johns Hopkins University (US)
Corresponding author
Lemay, Nancy Vollmer
Venue
Journal of Health Communication
Published
2012-05-02
Volume
17
Issue
sup1
Pages
105-117
ISSN
  • 1081-0730 (ISSN-L)
  • 1087-0415
OpenAlex
W2157095615
Cited by
96
References
5
Citations by year
2026: 1 · 2023: 3 · 2022: 6 · 2021: 3 · 2020: 8 · 2019: 12 · 2018: 9 · 2017: 8 · 2016: 11 · 2015: 15 · 2014: 11 · 2013: 8 · 2012: 1
FWCI
19.86
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Health Communication (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
  • Social Sciences › Health › Social Media in Health Education
Keywords
mobile health, SMS, healthcare workers, family planning, reproductive health, HIV/AIDS, health information needs, baseline assessment, pilot intervention, health information exchange, mobile devices, Malawi
MeSH terms
Clinical Competence, Community Health Workers, Community Health Services, Family Planning Services, Humans, Malawi, Pilot Projects, Program Evaluation, Telemedicine, Needs Assessment, Reproductive Health Services, Qualitative Research, Text Messaging

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